Three-Dimensional Ultrasonography to Assess Long-Term Durability of Periurethral Collagen in Women With Stress Urinary Incontinence Due to Intrinsic Sphincter Deficiency

Poon, C.I.; Zimmern, P.; Wilson, Timothy H.; Defreitas, Gina A.; Foreman, Melissa

doi:10.1016/s0022-5347(05)00136-9

Cited by 5 publications

(5 citation statements)

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“…Most patients need additional treatment sessions to achieve and maintain improvement or cure [14•,15]. Poon et al [16] employed 3-dimensional ultrasound (3DUS) to demonstrate the natural history of collagen injected in tissues of the urethra. They detected a postoperative collagen volume of 2.8 mL located circumferentially or in a horse-shoe fashion around the proximal urethra in 80% of cases and concluded that a persistent, satisfactory clinical outcome is associated with maintenance of this confi guration and volume over time.…”

Section: Collagen Injectionmentioning

confidence: 99%

Urethral bulking agents: Techniques and outcomes

Kotb¹,

Campeau²,

Corcos

2009

Curr Urol Rep

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Stress urinary incontinence is a common health problem affecting women and interfering with their quality of life. The use of bulking agents for urethral augmentation seems to be a beneficial way of restoring continence in these patients while avoiding the risk of surgical intervention. Many agents are available for injection, but the ideal choice should be durable, nonmigratory, and hypoallergenic, while evoking healing with minimal scarring. We reviewed the literature to provide an update on the best techniques of bulking agent injection, to describe the different available injectable agents, and to give their outcome and possible complications.

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Section: Collagen Injectionmentioning

confidence: 99%

Urethral bulking agents: Techniques and outcomes

Kotb¹,

Campeau²,

Corcos

2009

Curr Urol Rep

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“…Abscess and fistula formation, as well as the axis of the vagina, are evident on crosssectional imaging. For the urethral and anal sphincters, both ultrasound and MRI show the location and volume of injected bulking agents, and the postoperative configuration of surgical sphincter repair [60,[106][107][108]. (See Variant 6.…”

Section: Imaging the Complications Of Surgerymentioning

confidence: 99%

ACR Appropriateness Criteria Pelvic Floor Dysfunction

Pannu

Javitt

Glanc

et al. 2015

Journal of the American College of Radiology

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“…A second study in 58 women over 65 years of age reported a long-term objective success rate of 60.3% at 24 months, with 40% of the women reporting improved QoL [5]. A third study used both the UDI and a global QoL visual analogue scale to evaluate QoL [6]. At a mean of 24 months after treatment, both scores were significantly improved compared with baseline (p≤0.013), although interestingly there are no data showing subjective symptom outcomes (symptom scores) or objective test results.…”

Section: Glutaraldehyde Cross-linked Collagenmentioning

confidence: 99%

Patient-perceived outcomes in the treatment of stress urinary incontinence: focus on urethral injection therapy

et al. 2006

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Intervention for stress urinary incontinence (SUI) is generally focused on minimizing urinary leakage. However, the overall impact of SUI therapy on patients' quality of life is, arguably, more important than leakage outcomes. We performed a literature search to investigate the effect of urethral injection therapy on quality of life. Significant quality-of-life improvements have been observed with a number of injectable agents, while there is a distinct lack of correlation between subjective and objective outcomes. Two studies comparing urethral injection therapy with surgical intervention found superior objective efficacy with surgery, but no significant differences in quality-of-life improvements. Personal goals of patients undergoing urethral injection are yet to be explored, but there may be willingness to trade a lower success rate in favor of a more minor treatment procedure. In conclusion, quality-of-life improvements after urethral injection appear significant and comparable to those obtained with surgery. Further study of patients' own perceptions, pre- and posttreatment, would be valuable.

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Three-Dimensional Ultrasonography to Assess Long-Term Durability of Periurethral Collagen in Women With Stress Urinary Incontinence Due to Intrinsic Sphincter Deficiency

Cited by 5 publications

References 0 publications

Urethral bulking agents: Techniques and outcomes

Urethral bulking agents: Techniques and outcomes

ACR Appropriateness Criteria Pelvic Floor Dysfunction

Patient-perceived outcomes in the treatment of stress urinary incontinence: focus on urethral injection therapy

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